Application of simultaneous morcellation in situ in laparoscopic myomectomy of larger uterine leiomyomas

ABSTRACT

To describe the efficiency, blood loss, operating time and mean hospital stay of enucleation of a large myoma by 'simultaneous morcellation in situ' [SMI] in laparoscopic myomectomy [LM]. Patients and Twenty-six patients with leiomyomas>9 cm in diameter were treated using LM and SMI from January 2006 to December 2009. Patient characteristics and operative data were collected and analyzed. The average operating time was 106.4 +/- 38.5 min [range 50-175 min]. The average blood loss was 278.2 +/- 164.6 ml [range 50-800 ml]. There was no other complication, and no patient underwent conversion to laparotomy. The average postoperative hospital stay was 5.4 +/- 0.2 days [range 5-7 days]. Our study confirmed that SMI is an efficient and safe way to remove large uterine myomas [>9 cm] during LM